NANCY MARIE MIXON (NPI# 1679051239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679051239 |
| Entity Type | Individual |
| Full Name | NANCY MARIE MIXON |
| Practice Address |
4200 Dillon Dr Pueblo CO 81008-2113 |
| Mailing Address |
1046 S Mescal Dr Pueblo West CO 81007-1958 |
| Practice Telephone | 7195438348 |
| Mailing Telephone | 7202273846 |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0022933 | CO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 4060 | WY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 580 Livingston Ave, Cheyenne, WY 820071966 | 3078236812 | 3078236813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083065932 | Nancy Leanne Mixon | Nurse Practitioner | 1930 Alcoa Hwy, Building A Suite 435, Knoxville, TN 37920-1500 | 2016-06-22 |
| Street Address |
4200 DILLON DR |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669499927 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4200 Dillon Dr, Pueblo, CO 81008-2113 | 2006-07-16 |
| 1376091926 | Denise Vu | Pharmacist | 4200 Dillon Dr, Pueblo, CO 81008-2113 | 2016-09-12 |
| 1669742219 | Hartman Vision Care LLC | Optometrist | 4200 Dillon Dr, Pueblo, CO 81008-2113 | 2012-01-12 |
| 1932482353 | Lindsey Michelle Montoya | Pharmacist | 4200 Dillon Dr, Pueblo, CO 81008-2113 | 2011-09-21 |
| 1841499837 | Joseph Hartman | Optometrist | 4200 Dillon Dr, Pueblo, CO 81008-2113 | 2007-07-11 |
| 1710077995 | Walmart Stores, Inc. | Technician/Technologist | 4200 Dillon Dr, Pueblo, CO 81008-2113 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861031502 | James Mark Faoro | Pharmacist | 27197 Torchey Way, Pueblo, CO 81006-9757 | 2019-12-28 |
| 1710445424 | Linda Jean Holzrichter | Pharmacist | 1925 E Orman Ave Ste 102, Pueblo, CO 81004-3500 | 2019-03-12 |
| 1225529811 | Megan Keller | Pharmacist | 30393 Everett Rd, Pueblo, CO 81006-9548 | 2018-05-20 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1285161802 | John David Buglewicz | Pharmacist | 1545 S Prairie Ave, Pueblo, CO 81005-2312 | 2017-05-13 |
| 1689114118 | Chandler Follett | Pharmacist | 4743 Eagleridge Cir Apt 305, Pueblo, CO 81008-2277 | 2017-03-02 |
| 1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
| 1134532377 | Karl Aguilera | Pharmacist | 10 Hampton Ln, Pueblo, CO 81001-1722 | 2014-06-05 |
| 1316218035 | Gregory Rice | Pharmacist | 41 Montebello Rd Ste 122, Pueblo, CO 81001-1366 | 2012-01-26 |
| 1023387206 | Adetola A Obiwole | Pharmacist | 4602 N Elizabeth Street Ste. 190, Pueblo, CO 81008-2093 | 2011-12-18 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.